艾灸“三中”穴联合太极养生功护理在冠心病患者中的应用效果

Application effects of moxibustion at“Sanzhong”acupoint combined with Taiji for health nursing in patients with coronary heart disease

目的:观察艾灸“三中”穴联合太极养生功护理在冠状动脉粥样硬化性心脏病(冠心病)患者中的应用效果。方法:选取2019年5月至2021年2月该院收治的174例冠心病患者进行前瞻性研究,按照随机数字表法分为A组、B组、C组各58例。A组实施常规护理,B组在A组基础上采用太极养生功护理,C组在B组基础上采用艾灸“三中”穴护理,比较三组心绞痛发作频次、每次发作持续时间、心功能指标[左心室舒张末期内径(LVEDD)、左心室射血分数(LVEF)、左心室收缩末期内径(LVESD)]水平、6 min步行试验距离(6MWD)和中医证候积分。结果:护理3个月,三组心绞痛发作频次、中医证候积分、LVEDD水平和LVESD水平均低于护理前,且C组低于A组和B组,B组低于A组;三组心绞痛发作持续时间均短于护理前,且C组短于A组和B组,B组短于A组;三组LVEF、6MWD水平高于护理前,且C组高于A组和B组,B组高于A组,差异均有统计学意义(P<0.05)。结论:在常规护理基础上采用艾灸“三中”穴联合太极养生功护理可降低冠心病患者心绞痛发作频次、中医证候积分,缩短心绞痛发作持续时间,改善心功能指标水平,以及提高6MWD水平,效果优于单纯常规护理或常规护理联合太极养生功护理。

Objective:To observe application effects of moxibustion at“Sanzhong”acupoint combined with Taiji for health nursing in patients with coronary heart disease.Methods:A prospective study was conducted on 174 patients with coronary heart disease admitted to the hospital from May 2019 to February 2021.They were divided into group A,group B and group C according to the random number table method,58 cases in each.The group A was given routine nursing,the group B was given Taiji for health nursing on the basis of that of the group A,and the group C was given moxibustion at“Sanzhong”acupoint on the basis of that of the group B.The frequency of angina pectoris attacks,the duration of each attack,the cardiac function index levels[left ventricular end-diastolic diameter(LVEDD),left ventricular ejection fraction(LVEF),left ventricular end-systolic diameter(LVESD)],the 6-minute walking test distance(6MWD),and the TCM syndrome score were compared among the three groups.Results:After 3 months of nursing,the frequencies of angina pectoris attack,the duration of angina pectoris attack,the TCM syndrome scores,the LVEDD level sand the LVESD levels in the three groups were lower than those before the nursing,those in the group C were lower than those in the group A and the group B,those in the group B were lower than those in the group A;the levels of LVEF and 6MWD in the three groups were higher than those before the nursing,those in the group C were higher than those in the group A and the group B,those in the group B were higher than those in the group A;and the differences were statistically significant(P<0.05).Conclusions:On the basis of routine nursing,moxibustion at“Sanzhong”acupoint combined with Taiji for health nursing can reduce the frequency of angina pectoris,the duration of angina pectoris and the TCM syndrome scores in the patients with coronary heart disease,improve the levels of cardiac function indexes,and improve the 6MWD.Moreover,it is superior to simple routine nursing or routine nursing combined with Taiji for health nursing.